|
|
||||||||
American Journal of Public Health, Vol 90, Issue 8 1212-1215, Copyright © 2000 by American Public Health Association
JOURNAL ARTICLE |
CP Jones
Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
The author presents a theoretic framework for understanding racism on 3 levels: institutionalized, personally mediated, and internalized. This framework is useful for raising new hypotheses about the basis of race-associated differences in health outcomes, as well as for designing effective interventions to eliminate those differences. She then presents an allegory about a gardener with 2 flower boxes, rich and poor soil, and red and pink flowers. This allegory illustrates the relationship between the 3 levels of racism and may guide our thinking about how to intervene to mitigate the impacts of racism on health. It may also serve as a tool for starting a national conversation on racism.
This article has been cited by other articles:
![]() |
D. R. Williams, H. W. Neighbors, and J. S. Jackson Racial/Ethnic Discrimination and Health: Findings From Community Studies Am J Public Health, September 1, 2008; 98(Supplement_1): S29 - S37. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. R. Williams Racial/Ethnic Variations in Women's Health: The Social Embeddedness of Health Am J Public Health, September 1, 2008; 98(Supplement_1): S38 - S47. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. K. Miller, F. D. Wolinsky, E. M. Andresen, T. K. Malmstrom, and J. P. Miller Adverse Outcomes and Correlates of Change in the Short Physical Performance Battery Over 36 Months in the African American Health Project J. Gerontol. A Biol. Sci. Med. Sci., May 1, 2008; 63(5): 487 - 494. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. R. Brown, A. Hernandez, G. Saint-Jean, S. Evans, I. Tafari, L. G. Brewster, M. J. Celestin, C. Gomez-Estefan, F. Regalado, S. Akal, et al. A Participatory Action Research Pilot Study of Urban Health Disparities Using Rapid Assessment Response and Evaluation Am J Public Health, January 1, 2008; 98(1): 28 - 38. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. B. Signorello, D. G. Schlundt, S. S. Cohen, M. D. Steinwandel, M. S. Buchowski, J. K. McLaughlin, M. K. Hargreaves, and W. J. Blot Comparing Diabetes Prevalence Between African Americans and Whites of Similar Socioeconomic Status Am J Public Health, December 1, 2007; 97(12): 2260 - 2267. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. H. Chin, A. E. Walters, S. C. Cook, and E. S. Huang Interventions to Reduce Racial and Ethnic Disparities in Health Care Med Care Res Rev, October 1, 2007; 64(5_suppl): 7S - 28S. [Abstract] [PDF] |
||||
![]() |
T. L. Fisher, D. L. Burnet, E. S. Huang, M. H. Chin, and K. A. Cagney Cultural Leverage: Interventions Using Culture to Narrow Racial Disparities in Health Care Med Care Res Rev, October 1, 2007; 64(5_suppl): 243S - 282S. [Abstract] [PDF] |
||||
![]() |
R. O. Pierce Jr Ethnic and Racial Disparities in Diagnosis, Treatment, and Follow-up Care J. Am. Acad. Ortho. Surg., September 1, 2007; 15(suppl_1): S8 - S12. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. C. Gee, J. Delva, and D. T. Takeuchi Relationships Between Self-Reported Unfair Treatment and Prescription Medication Use, Illicit Drug Use, and Alcohol Dependence Among Filipino Americans Am J Public Health, May 1, 2007; 97(5): 933 - 940. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. L. R. Anderson, E. R. Calvillo, and M. N. Fongwa Community-Based Approaches to Strengthen Cultural Competency in Nursing Education and Practice J Transcult Nurs, January 1, 2007; 18(1_suppl): 49S - 59S. [Abstract] [PDF] |
||||
![]() |
J. Wang, J. M. Noel, I. H. Zuckerman, N. A. Miller, F. T. Shaya, and C. D. Mullins Disparities in Access to Essential New Prescription Drugs between Non-Hispanic Whites, Non-Hispanic Blacks, and Hispanic Whites. Med Care Res Rev, December 1, 2006; 63(6): 742 - 763. [Abstract] [PDF] |
||||
![]() |
E. Waltermaurer, C.-A. Watson, and L.-A. McNutt Black Women's Health: The Effect of Perceived Racism and Intimate Partner Violence. Violence Against Women, December 1, 2006; 12(12): 1214 - 1222. [Abstract] [PDF] |
||||
![]() |
G. C. Gee, A. Ryan, D. J. Laflamme, and J. Holt Self-Reported Discrimination and Mental Health Status Among African Descendants, Mexican Americans, and Other Latinos in the New Hampshire REACH 2010 Initiative: The Added Dimension of Immigration Am J Public Health, October 1, 2006; 96(10): 1821 - 1828. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Kumar, S. Tse, A. Fernando, and S. Wong Epidemiological studies on mental health needs of Asian population in New Zealand. International Journal of Social Psychiatry, September 1, 2006; 52(5): 408 - 412. [Abstract] [PDF] |
||||
![]() |
D. M. Griffith, E. Moy, T. M. Reischl, and E. Dayton National data for monitoring and evaluating racial and ethnic health inequities: where do we go from here? Health Educ Behav, August 1, 2006; 33(4): 470 - 487. [Abstract] [PDF] |
||||
![]() |
C. O. Airhihenbuwa and L. Liburd Eliminating health disparities in the african american population: the interface of culture, gender, and power. Health Educ Behav, August 1, 2006; 33(4): 488 - 501. [Abstract] [PDF] |
||||
![]() |
N. B. Wallerstein and B. Duran Using Community-Based Participatory Research to Address Health Disparities Health Promot Pract, July 1, 2006; 7(3): 312 - 323. [Abstract] [PDF] |
||||
![]() |
S. Selig, E. Tropiano, and E. Greene-Moton Teaching Cultural Competence to Reduce Health Disparities Health Promot Pract, July 1, 2006; 7(3_suppl): 247S - 255S. [Abstract] [PDF] |
||||
![]() |
M. O. Royster, A. Richmond, E. Eng, and L. Margolis Hey Brother, How's Your Health?: A Focus Group Analysis of the Health and Health-Related Concerns of African American Men in a Southern City in the United States Men and Masculinities, April 1, 2006; 8(4): 389 - 404. [Abstract] [PDF] |
||||
![]() |
G. C. Gee, J. Chen, M. S. Spencer, S. See, O. A. Kuester, D. Tran, and D. Takeuchi Social Support as a Buffer for Perceived Unfair Treatment Among Filipino Americans: Differences Between San Francisco and Honolulu Am J Public Health, April 1, 2006; 96(4): 677 - 684. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Nairn, F. Pega, T. McCreanor, J. Rankine, and A. Barnes Media, Racism and Public Health Psychology J Health Psychol, March 1, 2006; 11(2): 183 - 196. [Abstract] [PDF] |
||||
![]() |
E. M. Andresen and D. K. Miller The Future (History) of Socioeconomic Measurement and Implications for Improving Health Outcomes Among African Americans J. Gerontol. A Biol. Sci. Med. Sci., October 1, 2005; 60(10): 1345 - 1350. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. A. Mensah Eliminating Disparities in Cardiovascular Health: Six Strategic Imperatives and a Framework for Action Circulation, March 15, 2005; 111(10): 1332 - 1336. [Abstract] [Full Text] [PDF] |
||||
![]() |
I. Kawachi, N. Daniels, and D. E. Robinson Health Disparities By Race And Class: Why Both Matter Health Aff., March 1, 2005; 24(2): 343 - 352. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. W. Collins Jr, R. J. David, A. Handler, S. Wall, and S. Andes Very Low Birthweight in African American Infants: The Role of Maternal Exposure to Interpersonal Racial Discrimination Am J Public Health, December 1, 2004; 94(12): 2132 - 2138. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. D. Comstock, E. M. Castillo, and S. P. Lindsay Four-Year Review of the Use of Race and Ethnicity in Epidemiologic and Public Health Research Am. J. Epidemiol., March 15, 2004; 159(6): 611 - 619. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Goldman, M. K. Hunt, J. D. Allen, S. Hauser, K. Emmons, M. Maeda, and G. Sorensen The Life History Interview Method: Applications to Intervention Development Health Educ Behav, October 1, 2003; 30(5): 564 - 581. [Abstract] [PDF] |
||||
![]() |
C. Walsh and L. F. Ross Are Minority Children Under- or Overrepresented in Pediatric Research? Pediatrics, October 1, 2003; 112(4): 890 - 895. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. V. Marin HIV Prevention in the Hispanic Community: Sex, Culture, and Empowerment J Transcult Nurs, July 1, 2003; 14(3): 186 - 192. [Abstract] [PDF] |
||||
![]() |
J. B. Kaplan and T. Bennett Use of Race and Ethnicity in Biomedical Publication JAMA, May 28, 2003; 289(20): 2709 - 2716. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. M. Metzler, D. L. Higgins, C. G. Beeker, N. Freudenberg, P. M. Lantz, K. D. Senturia, A. A. Eisinger, E. A. Viruell-Fuentes, B. Gheisar, A.-G. Palermo, et al. Addressing Urban Health in Detroit, New York City, and Seattle Through Community-Based Participatory Research Partnerships Am J Public Health, May 1, 2003; 93(5): 803 - 811. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. Prothrow-Stith, B. Gibbs, and A. Allen Reducing Health Disparities: From Theory to Practice Cancer Epidemiol. Biomarkers Prev., March 1, 2003; 12(3): 256S - 260. [Full Text] |
||||
![]() |
D. R. Williams, H. W. Neighbors, and J. S. Jackson Racial/Ethnic Discrimination and Health: Findings From Community Studies Am J Public Health, February 1, 2003; 93(2): 200 - 208. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. R. Williams Racial/Ethnic Variations in Women's Health: The Social Embeddedness of Health Am J Public Health, April 1, 2002; 92(4): 588 - 597. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. F. Olney and J. Kennedy Racial Disparities in VR Use and Job Placement Rates for Adults with Disabilities Rehabil Couns Bull, April 1, 2002; 45(3): 177 - 185. [Abstract] [PDF] |
||||
![]() |
B. B. Worrall, K. C. Johnston, G. Kongable, E. Hung, D. Richardson, and P. B. Gorelick Stroke Risk Factor Profiles in African American Women: An Interim Report From the African-American Antiplatelet Stroke Prevention Study Stroke, April 1, 2002; 33(4): 913 - 919. [Abstract] [Full Text] [PDF] |
||||
![]() |
Policy Statements Adopted by the Governing Council of the American Public Health Association, October 24, 2001 Am J Public Health, March 1, 2002; 92(3): 451 - 483. [Full Text] [PDF] |
||||
![]() |
T. L. Bowen-Reid and J. P. Harrell Racist Experiences and Health Outcomes: An Examination of Spirituality as a Buffer Journal of Black Psychology, February 1, 2002; 28(1): 18 - 36. [Abstract] [PDF] |
||||
![]() |
J. W. Collins Jr., S.-Y. Wu, and R. J. David Differing Intergenerational Birth Weights among the Descendants of US-born and Foreign-born Whites and African Americans in Illinois Am. J. Epidemiol., February 1, 2002; 155(3): 210 - 216. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. P. Jones Invited Commentary: "Race," Racism, and the Practice of Epidemiology Am. J. Epidemiol., August 15, 2001; 154(4): 299 - 304. [Full Text] [PDF] |
||||
![]() |
L. Shi and B. Starfield The Effect of Primary Care Physician Supply and Income Inequality on Mortality Among Blacks and Whites in US Metropolitan Areas Am J Public Health, August 1, 2001; 91(8): 1246 - 1250. [Abstract] [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |